Individual
MR. TOMMY VITTIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21647 MARINA CIR, MACOMB, MI 48044-1325
(586) 883-3853
Mailing address
21647 MARINA CIR, MACOMB, MI 48044-1325
(586) 883-3853
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005305
MI
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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